THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: July 8, 2009 01:43 PM Wednesday; Rod Welch

Kaiser orders xray evaluate Millie's breathing problems caused by
radiation injury to lungs from medical mistake at UCSF.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 20 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 090514 0830 Doctor Rugo diagnosed Millie's breathing problems were
040902 - caused by radiation that increased ground glass opacities in the lungs
040903 - reported in the CT test on 090413. ref SDS 5 NL9I
040905 -  ..
040906 - On 090609 Doctor Hsu reported that UCSF made a mistake performing
040907 - radiation treatments for Millie under referral from Kaiser during
040908 - February and March. ref SDS 6 W65W  This caused cancer in the
040909 - breastbone area to go untreated for 6 months, causing cancer to
040910 - spread, noted in Doctor Hsu's letter to Millie on 090401. ref SDS 1
040911 - R24X  On 090609 Doctor Hsu diagnosed Millie's breathing problems
040912 - beginning in April, were caused by untreated IBC in the breastbone
040913 - area, that may have migrated into Millie's lungs. ref SDS 6 R24G
040915 -  ..
040916 - On 090609 Doctor Hsu also diagnosed that Millie's breathing problems
040917 - may have been caused by progressive radiation injury to the lungs.
040918 - ref SDS 6 R24G
040920 -  ..
040921 - Doctor Hsu ordered a CT test for Millie at Kaiser to evaluate the
040922 - scope of injury caused by mistakes providing radiation services.
040923 - ref SDS 6 W66T
040925 -  ..
040926 - On 090609 0900 Doctor Hsu prescribed treatment with MPA at UCSF for
040927 - Millie to recover from medical mistakes performing radiation earlier
040928 - at UCSF. ref SDS 6 W66W
040930 -  ..
040931 - On 090616 1240 Doctor Rugo provided MPA treatment for Millie to
040932 - recover from cancer spreading and new breathing problems, ref SDS 9
040933 - D647, prescribed by Doctor Hsu on 090609. ref SDS 6 W66W
040935 -  ..
040936 - On 090627 Millie reported another episode of persistant coughing that
040937 - was caused by breathing problems Doctor Hsu diagnosed on 090607 was
040938 - caused by mistakes providing medical services for radiation.
040939 - ref SDS 12 BF4K
040941 -  ..
040942 - On 090701 1200 Millie reported another episode of prolonged and
040943 - persistent cough, and requested treatment from UCSF. ref SDS 13 9T5K
040945 -  ..
040946 - On 090701 1652 Millie received a letter from Doctor Hsu, ref SDS 14
040947 - SF8I, saying he looked at scan files for Millie's CT test on 090612,
040948 - and found decrease in lung volume, noting he is not a diagnostic
040949 - radiologist. ref SDS 14 4P4K  The doctor advises that UCSF has a
040950 - treatment for Millie's breathing problems with symptoms of tightness
040951 - in the left side of her chest. ref SDS 14 4P51
040953 -  ..
040954 - On 090701 2156 Millie responds to Doctor Hsu's letter earlier in the
040955 - day, ref SDS 14 SF8I, responding to Millie's request for treatment of
040956 - breathing problems, ref SDS 13 9T5K, and submitting 2 reports Kaiser
040957 - published for the CT test on 090612, ref SDS 15 4Z4F, because Doctor
040958 - Hsu reported he could not find the reports in UCSF's files; and which
040959 - needed to be reviewed together for a complete analysis of Millie's
040960 - breathing problems; Millie asks about adding a cardio pulmonary
040961 - specialist to the medical team for evaluating breathing problems and
040962 - prescribing treatment for Millie to recover from by mistakes
040963 - performing radiation at UCSF during February and March.
040965 -  ..
040966 - On 090702 2241 Millie's letter to the medical team, ref SDS 17 OP6I,
040967 - responds to Doctor Hsu's letter yesterday on 080701 1652, ref SDS 14
040968 - SF8I, responding to Millie's request for treatment of breathing
040969 - problems, ref SDS 13 9T5K, and notifies the medical team that UCSF
040970 - Triage Department provided prescription for temporary treatment of
040971 - cough symptoms, ref SDS 17 DZ6U, and Millie suffers pain on her left
040972 - side, which may correlate to Doctor Hsu's report that he can treat the
040973 - problem. ref SDS 17 D13Q
040975 -  ..
040976 - On 090705 2248 Millie notifies medical team coordinating for
040977 - examnation at UCSF on 090716 to start second cycle of MPA treatment
040978 - for Millie to recover from medical mistakes caused by UCSF providing
040979 - radiation medical services on referral from Kaiser. ref SDS 18 FS6G
040980 - Millie asks UCSF for analyst's reports from reviewing CT test scan
040981 - files delivered to UCSF on 090612 at the request of Doctor Rugo for
040982 - evaluating Millie's participation in MPA and severity of lung injury
040983 - from radiation mistakes. ref SDS 18 FT9U
040985 -  ..
040986 - On 090706 1009 telecon with Mike developed work plan and schedule for
040987 - UCSF to recover from medical mistakes providing radiation services
040988 - that caused evident lung injury that makes breathing difficult for
040989 - Millie, and has spread her cancer. ref SDS 19 QY5H
040991 -  ..
040992 - On 090706 1643 Millie receives letter from Mike reporting that UCSF
040993 - failed to use CT tests same-day hand-delivered to UCSF for evaluating
040994 - work plan for Millie to recover from medical mistakes that caused
040995 - radiation injury to Millie's lungs and spread of cancer. ref SDS 20
040996 - FS6G
040998 -  ..
040999 - On 090708 1343 Millie notifies medical team that Doctor Johnson,
041000 - Millie's primary care physician at Kaiser, who made the referral for
041001 - radiation services to UCSF, has ordered xray test to evaluate Millie's
041002 - persistent breathing problems from progressive radiation injury caused
041003 - by medical mistake getting radiation medical services at UCSF.
041004 - ref SDS 0 FS6G
041005 -
041006 -
041008 -  ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Millie's letter to the medical team responds to UCSF's letter on
041402 - 090706 reporting that UCSF has not had time to order review of
041403 - Millie's CT test on 090612, ref SDS 20 FS6G, which was requested on
041404 - 090609 by Doctor Hsu at UCSF to evaluate Millie's breathing problems,
041405 - ref SDS 6 W66T, caused by medical mistakes providing radiation medical
041406 - services on referral from Kaiser, ref SDS 6 W65W, and saying...
041407 -
041408 -    1.  Subject: Xray Test Ordered at Kaiser for Radiation Injury to Lungs and Metastasis
041409 -        Date: Wed, 08 Jul 2009 14:01:19 -0700
041417 -         ..
041418 -    3.  Arlette called this afternoon and advised that Doctor Johnson
041419 -        has ordered a test to evaluate my breathing problems, and
041420 -        persistent cough, initially reported to the team on 090510,
041421 -        ref SDS 4 LJ6T, and which you associated with reaction to
041422 -        radiation in the meeting on 090514, ref SDS 5 DE8M, concurring
041423 -        with Doctor Johnson's analysis earlier on 090415. ref SDS 2
041424 -        GT4M  [Kaiser medical chart for Millie's examination on 090626
041425 -        reports some DOE noted. ref SDS 11 EF7R
041427 -             ..
041428 -            [On 090708 0301 Doctor Johnson calls and advises that
041429 -            Kaiser has also ordered a pulmonary funciton test (PFT) to
041430 -            further evaluate Millie's breathing problems. ref SDS 21
041431 -            FS6G
041433 -             ..
041434 -            [On 090709 0301 xray test completed, Millie requests
041435 -            finding be distributed to the medical team. ref SDS 22 5N5Q
041437 -         ..
041438 -    4.  This follows up Mike's letter 2 days ago on 090706 1516,
041439 -        advising that UCSF has not made an independent review of my CT
041440 -        scans on 090413 and 090612, ref SDS 20 FS6G, which were
041441 -        hand-delivered to your office on 090612, in order to expedite
041442 -        evaluation of treatment requirements. ref SDS 8 UD5H
041444 -         ..
041445 -    5.  Arlette mentioned in the call today that my breathing problems
041446 -        may indicate cancer metastasis in the lungs, as Doctor Hsu
041447 -        noted during the meeting on 090609. ref SDS 6 W65W  The new
041448 -        test may, as well, lead to work clearing up the messy situation
041449 -        on my chest, which is not recovering as quickly as IBC on my
041450 -        arm.
041452 -         ..
041453 -    6.  Hopefully, the test at Kaiser will get done by the end of the
041454 -        week so that Kaiser has time to provide data to support meeting
041455 -        with you next Thursday on 090716 0830.
041457 -         ..
041458 -    7.  For Doctor Johnson/Arlette, please let me know the date and
041459 -        time for the new test.
041461 -         ..
041462 -    8.  Thanks very much for moving forward to address breathing
041463 -        problems.
041464 -
041471 -
041472 -
041473 -
0415 -